Kailey, Lisa R

Kailey, Lisa R is an sole proprietor health care provider with primary practice located at 3400 E Fernan Hill Rd , Coeur D Alene ID 83814-7588. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kailey, Lisa R can be contacted via phone (208) 819-2183.

Contact Information

Primary practice address
3400 E Fernan Hill Rd Coeur D Alene ID 83814-7588
Phone: (208) 819-2183
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 071833623 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2337812 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 68388 Idaho

Profile Details

NPI number 1316559073
LBN Legal business name Kailey, Lisa R
Credentials MSN, APRN, FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2020
Last updated Sep 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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